Provider Demographics
NPI:1376307652
Name:DOUCET, HADASSAH
Entity Type:Individual
Prefix:
First Name:HADASSAH
Middle Name:
Last Name:DOUCET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 NE 164TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3433
Mailing Address - Country:US
Mailing Address - Phone:786-395-5820
Mailing Address - Fax:
Practice Address - Street 1:2962 TRIVIUM CIR
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-4655
Practice Address - Country:US
Practice Address - Phone:800-921-6806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9571699163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health